scholarly journals A STUDY OF NIDANAS (AETIOLOGICAL FACTORS) OF TAMAKA SHWASA i.e. BRONCHIAL ASTHMA WITH AN ANALYTICAL VIEW

2020 ◽  
Vol 8 (9) ◽  
pp. 4497-4503
Author(s):  
Tejal J. Ganvit ◽  
Himanshu Kanzaria ◽  
Anamika Soni ◽  
Surendra A. Soni

In general meaning, difficulty in breathing or shortness in breathing is termed as ‘Shwasa’. As per Ayurve-da Shwasa Roga is mainly caused by vitiated Vata Dosha and Kapha Dosha. Maha- Urdhva-Chhinna-Tamaka and Kshudra are the types of Shwasa Roga. Shwasakashtata (Breathlessness), Ativege Kasate (Cough), Pinasa (Running nose), Ghurghurukam (Wheezing), Shayane Shwasa Pidita (Worsen in supine position), Asino Labhate Saukhyam (Relaxing in sitting position), Ush-nabhinanditam are the symptoms of Tamaka Shwasa. Raja-Dhuma (Pollens, Smoke/fumes), Megha-Ambu-Shita-Pragvata (Seasonal changes) are triggering factors of the Tamaka Shwasa. In this condition, patient becomes incapable to do his routine work. Incidences of Bronchial Asthma have been raised in recent dec-ades due to increased industrialization and pollution and this miserable condition can be compared with Tamaka Shwasa described in Ayurveda. In current review article an effort has been made to explain the aetiological factors (Nidana) of Shwasa Roga described in Ayurvedic classical texts with applied and mor-den perspective.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Olga-Cecilia Vargas-Pinilla ◽  
Eliana-Isabel Rodríguez-Grande

AbstractThe protocol established for taking hand grip dynamometry measurements determines that the patient must be in a sitting position. This protocol cannot be applied due to the patient’s conditions in some cases, such as abdominal surgery, musculoskeletal spine or hip injuries. The purpose was to determine the reproducibility and level of agreement between the Handgrip dynamometry in supine position with the elbow flexed or extended, and the one measured in the sitting position, the design was a descriptive cross-sectional study. The population were young apparently healthy between 18 and 30 years of age (N = 201). Handgrip measurement was performed on both upper limbs in a sitting position with a flexed elbow, a supine position with a flexed elbow, and supine position with the elbow extended. Reproducibility was nearly perfect in all positions (ICC 0.95–0.97). Regarding the level of agreement for the comparison between sitting and supine positions with a flexed elbow, an average difference of − 0.406. For supine position with an extended elbow and supine position with a flexed elbow, the average difference was − 1.479. Considering the results, clinicians or researchers can choose any of the positions evaluated herein and obtain reliable results as long as the standardization process is followed.


2021 ◽  
Vol 17 ◽  
Author(s):  
Nidhi Kala ◽  
Kalpana Praveen Rahate

: Triazole is the main five-membered Nitrogen-containing basic heterocyclic ring system reported for their biological activities and compounds with multiple pharmacophores, which fetch together acquaintance of a target with sympathetic types of the molecule that might interact with the target. In addition, healthy, adaptable, and scalable chemistry must be employed to achieve the task. This characteristic feature of triazole would make a good template for a lead cohort library. The current review article focuses on recent advancements in triazole moiety as an anti-cancer agent with their mechanism pathways of synthesized analogues.


1998 ◽  
Vol 51 (5) ◽  
pp. 303-320 ◽  
Author(s):  
D. W. Nicholson ◽  
N. W. Nelson ◽  
B. Lin ◽  
A. Farinella

Finite element analysis of hyperelastic components poses severe obstacles owing to features such as large deformation and near-incompressibility. In recent years, outstanding issues have, to a considerable extent, been addressed in the form of the hyperelastic element available in commercial finite element codes. The current review article, which updates and expands a 1990 article in Rubber Reviews, is intended to serve as a brief exposition and selective survey of the recent literature. Published simulations are listed. Rubber constitutive models and the measurement of their parameters are addressed. The underlying incremental variational formulation is sketched for thermomechanical response of compressible, incompressible and near-incompressible elastomers. Coupled thermomechanical effects and broad classes of boundary conditions, such as variable contact, are encompassed. Attention is given to advanced numerical techniques such as arc length methods. Remaining needs are assessed. This review article contains 142 references.


2016 ◽  
Vol 26 (02) ◽  
pp. 078-082
Author(s):  
Du Jun ◽  
Chin Cheong ◽  
Ashish Sule

AbstractProspective study with a controlled arm to know if there are variations of measures of arterial stiffness with posture in subjects with hypertension on antihypertensive medications.We studied postural variations of measures of arterial stiffness in 21 subjects with diagnosed hypertension on antihypertensive medications and compared them with 21 normotensive subjects. All subjects underwent pulse-wave analysis on SphygmoCor in the morning between 8 am to 10 am initially in supine and then in sitting position after 3 minutes. Summary measures on demographics, and blood pressure characteristics at sitting and supine positions are obtained. Differences between characteristics at supine and sitting position are compared using nonparametric paired test of Wilcoxon signed-rank test. A value of p < 0.05 was accepted as statistically significant.Antihypertensive medications decreased the supine aortic augmentation pressure (AAP) and augmentation index (AI) but not significantly. When subgroups of patients with antihypertensive treatment were analyzed, it was noted that angiotensin-converting enzyme inhibitor and angiotensin receptor blocker group (12) decreased AAP and AI significantly in supine position compared with patients on other antihypertensive medications (9) (p-value 0.034 and 0.038, respectively). There was no significant difference in other groups of calcium channel blockers, β-blockers, or diuretics. However, in normotensive control arm, there was an increase in AAP and AI in the supine position.In hypertensive subjects, on antihypertensive, there was reduction in AAP and AI in supine position compared with those of normotensives. The significance of the decrease in AAP and AI in supine position on antihypertensive needs to be studied further.


Author(s):  
Ali Ekber Ün

The purpose of this review article is to collaborate on future studies about hippotherapy to horse and riding trainers, health professionals, veterinarians, individuals in need and individuals with disabilities and their relatives and to shed light on academic studies. It has been stated in studies that hippotherapy is beneficial for patients in the world. Therefore, as a result of new private hippotherapy centers in public institutions and in Turkey, studies on hippotherapy have been started. The studies carried out in hippotherapy are increasing and widespread and continuing to contribute to the treatment of the individuals in need and individuals with disabilities with hippotherapy sessions with expert teams. However, in the studies, the sessions of the hippotherapy team with two common creatures have great duties on the equestrian coaches in order to meet the needs of the horse and the individual in need or individual with disability. For this reason, since hippotherapy is a multidisciplinary team work consisting of specialist professionals, it has been researched to contribute to the horse and rider coaches on the field and to the expert team attending the sessions, to the new experts and the families of the individuals in need and disabled individuals. In the current review, the information about the history of hippotherapy and development, information about hippotherapy institutions in Turkey, individuals in need and individuals with disabilities, benefits of hippotherapy, characteristics of the hippotherapy horse, training of the hippotherapy horse are emphasized, and especially emphasis is placed on the use of work in the field of horse and equestrian coaching.


2020 ◽  
Vol 162 (11) ◽  
pp. 2629-2636
Author(s):  
Kathrin Machetanz ◽  
Felix Leuze ◽  
Kristin Mounts ◽  
Leonidas Trakolis ◽  
Isabel Gugel ◽  
...  

Abstract Background The semi-sitting position in neurosurgical procedures is still under debate due to possible complications such as venous air embolism (VAE) or postoperative pneumocephalus (PP). Studies reporting a high frequency of the latter raise the question about the clinical relevance (i.e., the incidence of tension pneumocephalus) and the efficacy of a treatment by an air replacement procedure. Methods This retrospective study enrolled 540 patients harboring vestibular schwannomas who underwent posterior fossa surgery in a supine (n = 111) or semi-sitting (n = 429) position. The extent of the PP was evaluated by voxel-based volumetry (VBV) and related to clinical predictive factors (i.e., age, gender, position, duration of surgery, and tumor size). Results PP with a mean volume of 32 ± 33 ml (range: 0–179.1 ml) was detected in 517/540 (96%) patients. The semi-sitting position was associated with a significantly higher PP volume than the supine position (40.3 ± 33.0 ml [0–179.1] and 0.8 ± 1.4 [0–10.2], p < 0.001). Tension pneumocephalus was observed in only 14/429 (3.3%) of the semi-sitting cases, while no tension pneumocephalus occurred in the supine position. Positive predictors for PP were higher age, male gender, and longer surgery duration, while large (T4) tumor size was established as a negative predictor. Air exchange via a twist-drill was only necessary in 14 cases with an intracranial air volume > 60 ml. Air replacement procedures did not add any complications or prolong the ICU stay. Conclusion Although pneumocephalus is frequently observed following posterior fossa surgery in semi-sitting position, relevant clinical symptoms (i.e., a tension pneumocephalus) occur in only very few cases. These cases are well-treated by an air evacuation procedure. This study indicates that the risk of postoperative pneumocephalus is not a contraindication for semi-sitting positioning.


2001 ◽  
Vol 280 (3) ◽  
pp. H1400-H1406 ◽  
Author(s):  
Sirkku M. Pikkujämsä ◽  
Timo H. Mäkikallio ◽  
K. E. Juhani Airaksinen ◽  
Heikki V. Huikuri

Determinants and intersubject variations of fractal and complexity measures of R-R interval variability were studied in a random population of 200 healthy middle-aged women (age 51 ± 6 yr) and 189 men (age 50 ± 6 yr) during controlled conditions in the supine and sitting positions. The short-term fractal exponent (α1) was lower in women than men in both the supine (1.18 ± 0.20 vs. 1.12 ± 0.17, P < 0.01) and sitting position ( P < 0.001). Approximate entropy (ApEn), a measure of complexity, was higher in women in the sitting position (1.16 ± 0.17 vs. 1.07 ± 0.19, P < 0.001), but no gender-related differences were observed in ApEn in the supine position. Fractal and complexity measures were not related to any other demographic, laboratory, or lifestyle factors. Intersubject variations in a fractal measure, α1 (e.g., 1.15 ± 0.20 in the supine position, z value 1.24, not significant), and in a complexity measure, ApEn (e.g., 1.14 ± 0.18 in the supine position, z value 1.44, not significant), were generally smaller and more normally distributed than the variations in the traditional measures of heart rate variability (e.g., standard deviation of R-R intervals 49 ± 21 ms in the supine position, z value 2.53, P < 0.001). These results in a large random population sample show that healthy subjects express relatively little interindividual variation in the fractal and complexity measures of heart rate behavior and, unlike the traditional measures of heart rate variability, they are not related to lifestyle, metabolic, or demographic variables. However, subtle gender-related differences are also present in fractal and complexity measures of heart rate behavior.


2015 ◽  
Vol 52 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Juciléia DALMAZO ◽  
Lilian Rose Otoboni APRILE ◽  
Roberto Oliveira DANTAS

Background The esophagus has a different response in relation to the characteristics of a swallowed bolus. Bolus viscosity and body position may affect esophageal contraction and transit. Objectives To investigate the effect of bolus viscosity and body position on esophageal contraction, transit and perception. Methods Esophageal contraction, transit and perception of transit were evaluated in 26 asymptomatic volunteers, 13 men and 13 women aged 18-60 years, mean: 33.6 (12.2) years. Esophageal contraction (manometry) and transit (impedance) were measured with a solid state catheter with sensors located 5, 10, 15, and 20 cm from the lower esophageal sphincter. Each volunteer swallowed in duplicate and in random sequence a 5 mL low viscous (LV) liquid bolus of an isotonic drink with pH 3.3, and a 5 mL high viscous (HV) paste bolus, which was prepared with 7.5 g of instant food thickener diluted in 50 mL of water (pH: 6.4). Results Total bolus transit time, in the sitting position, was longer with the HV bolus than with the LV bolus. Esophageal transit was longer in the supine position than in the sitting position. Bolus head advance time was longer with the HV bolus than with the LV bolus in both positions. Contraction esophageal amplitude was higher in the supine position than in the sitting position. The perception of bolus transit was more frequent with the HV bolus than with the LV bolus, without differences related to position. Conclusions The viscosity of the swallowed bolus and body position during swallows has an influence on esophageal contractions, transit and perception of transit.


Processes ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. 1504
Author(s):  
Fang Zheng ◽  
Quan Shi ◽  
Germain Salvato Vallverdu ◽  
Pierre Giusti ◽  
Brice Bouyssiere

Asphaltenes, as the heaviest and most polar fraction of petroleum, have been characterized by various analytical techniques. A variety of fractionation methods have been carried out to separate asphaltenes into multiple subfractions for further investigation, and some of them have important reference significance. The goal of the current review article is to offer insight into the multitudinous analytical techniques and fractionation methods of asphaltene analysis, following an introduction with regard to the morphologies of metals and heteroatoms in asphaltenes, as well their functions on asphaltene aggregation. Learned lessons and suggestions on possible future work conclude the present review article.


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